Q. Kindly interpret my echo report taken for mild chest pain with mitral valve prolapse.

Answered by
Dr. Isaac Gana
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Feb 05, 2021 and last reviewed on: Mar 04, 2021

Hi doctor,

I am a 36-year-old female. I am diagnosed with mitral valve prolapse five years ago. I recently consulted with a cardiologist for my mild chest pains and anxiety attacks. She ordered 2D echo and these are the results. Should I go see the doctor immediately? I am scheduled to see her again a week from now. She gave me Metoprolol 50 mg once a day. The false tendon and atrial thickening concerns me.


Normal left ventricular diameter, left ventricular mass index and relative wall thickness.

There is adequate wall motion and contractility. Incidental finding of a false tendon.

Normal right ventricular diameter with adequate wall motion and contractility.

Normal left and right atrial diameter.

Normal left atrial volume index of 17 ml/m2.

Thickened anterior mitral valve leaflet without restriction of motion.

Thickened right aortic cusp without restriction of motion.

Structurally normal tricuspid and pulmonic valves.

Normal main pulmonary artery.

Normal aortic root diameter and visualize portion of the proximal ascending aorta.

No pericardial effusion.


Mitral regurgitation - mild.

Tricuspid regurgitation - mild.

Normal mitral inflow pattern and mitral annular velocities by tissue Doppler imaging.

Normal estimated pulmonary artery systolic pressure by pulmonary acceleration time.



Welcome back to

I have gone through the result of your echo. There are minor changes due to the mitral valve prolapse. But these changes are not too serious enough to affect your heart function.

I advise you to wait until your next appointment with her. There are no significant changes that point to an emergency.

Also, watch out for any drastic changes like shortness of breath or dizziness. If you notice these changes, you can go to the hospital before your appointment date.

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